PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Using Scapular-Pelvic Patterns Simultaneously to Improve the Components of Gait in Patients with Stroke

견갑 - 골반 동시 사용 패턴이 뇌졸중 환자의 보행요소에 미치는 효과

  • Kim, Seung-Ji (Department of Physical Therapy, Daegu Bohun Senoir Center) ;
  • Choi, Jae-Won (Department of Occupational Therapy, Dong Shin University) ;
  • Chung, Hyun-Ae (Department of Occupational Therapy, Dong Shin University)
  • 김승지 (대구 보훈 노인센타) ;
  • 최재원 (동신대학교 작업치료학과) ;
  • 정현애 (동신대학교 작업치료학과)
  • Received : 2016.05.31
  • Accepted : 2016.08.24
  • Published : 2016.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study used a comparative analysis to propose the effectiveness of using scapular and pelvic patterns of proprioceptive neuromuscular facilitation simultaneously (USPS) on the components of gait in patients with stroke. Methods: Subjects who signed a written consent form to participate in the experiment and attended voluntarily were divided randomly into two groups: the USPS group (12) and the control group (9). The USPS group received pattern training for 30 minutes a day, 3 days per week for 6 weeks. The control group received general physical exercise for the same duration. Gait ability was tested and analyzed before and after the 6 weeks of training with the GAITRite system. Results: The components of gait increased significantly in the USPS group after training (p < 0.05) and did not increase significantly in the control group. Conclusion: According to the results of this study, USPS training improves the components of gait more than general physical exercise. The USPS training method is effective for improving motor functions in patients with stroke, especially for gait rehabilitation.

Keywords

References

  1. Gill-Body KM, Beninato M, Krebs DE. Relationship among balance impairments, functional performance, and disability in people with peripheral vestibular hypofunction. Physical Therapy. 2000;80(8):748-758.
  2. Bohannon Rw, Mortom MG, Wikholm JB. Importance of four variables of walking to patients with stroke. International Journal of Rehabilitation Research. 1991;14(3):246-250. https://doi.org/10.1097/00004356-199109000-00010
  3. Choi JW, Chung HA, Bae SS, et al. Biomechanical analysis of scapular pattern in proprioceptive neuromuscular facilitation. Journal of the Korean proprioceptive neuromuscular facilitation association. 1999;11(3):65-69.
  4. Choi JW, Bae SS, Chung HA, et al. Biomechanical analysis of pelvic pattern in proprioceptive neuromuscular facilitation. Journal of the Korean proprioceptive neuromuscular facilitation association. 1999;11(1):137-141.
  5. Choi JW. The influence of different types of trunk rotation exercise on posture and gait in the individuals with malalignment syndrome. Daegu University. Dissertation of Doctorate Degree. 2009.
  6. Choi JH, Kim JS. Effects of proprioceptive neuromuscular facilitation techniques on the gait for hemiplegic patients. Journal of the Korean proprioceptive neuromuscular facilitation association.. 1999;11(1):121-127.
  7. Dickstein R, Nissan M, Pillar T, et al. Foot-ground perssure pattern of standing hemiplegic patients:Major characteristics and patterns of improvement. Physical Therapy. 1984;64(1);19-23. https://doi.org/10.1093/ptj/64.1.19
  8. Dietz B. Let's sprint, Let's Skate. Innovation im PNF-Konzept. New York. Springer. 2009.
  9. Eng JJ, Chu KS, Kim CM, et al. A community-based group exercise program for persons with chronic stroke. Medicine & Science in Sports& Exercise. 2003;35(8);1271-1278. https://doi.org/10.1249/01.MSS.0000079079.58477.0B
  10. Harris JJ, Eng JJ, Marigold DS, et al. Relationship of balance and mobility to fall incidencein people with chronic stoke. Physical Therapy. 2005;85(2):150-158.
  11. Hatch J, Gill-Body KM, Portney LG. Deteminants of balance confidence in community-dwelling elderly people. Physical Therapy. 2003;83(12);1072-1079.
  12. Holt RR, Simpson D, Jenner JR, et al. Ground reaction force after a sideways push as measure of balance in recovery from stroke. Clinical Rehabilitation. 2000;14(1):88-95. https://doi.org/10.1191/026921500668655351
  13. Kawahira, K, Simodozone, M, Ogata A, et al. Addition of intensive repetition of facilitation exercise to multidiscipliplinary rehabilitation promotes motor functional recovery of the hemiplegic lower limb. Journal of Rehabilitation Medicine. 2004;36(4):159-164. https://doi.org/10.1080/16501970410029753
  14. Keenan MA, Perry J, Jordan C. Factors affecting balance and ambulation following stroke. Clinic orthopaedic & Related Reserch. 1984;182:165-171.
  15. Kim BJ, Koo BO, Kim CS, et al. The necessity of skilled nursing facilities for stroke patients. The Journal of the Korean Society of Physical Therapy. 2002;14(4):75-86.
  16. Kim YH. The effects of trunk stability exercise on the balance and gait in the patients with stroke. Daegu University. Dissertation of Master's Degree. 2010.
  17. Kim JP. The effect of balance exercise on postural control and shooting record in archers. Korean Journal of Sport Biomechanics. 2008;18(2):65-74. https://doi.org/10.5103/KJSB.2008.18.2.065
  18. Kim TY. The effect of strengthening exercise using the sprinter/skater patterns. The Journal of Korean Proprioceptive Neuromuscular Facilitation Association. 2006;4(1):71-79.
  19. Kisner C, Colby LA. Therapeutic exercise. Foundation and Techniques, 3rd ed. Philadelphia. F.A. Davis Company. 1996.
  20. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted-living older adults. Journal of Aging and Physical Activity. 2002;10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  21. Koo BO, Kwon MJ, Kim GT, et al. Proprioceptive neuromuscular facilitation. Seoul. Dahak seorim. 2009.
  22. Lipert J, Brouder H, Miltner WHR, et al. Treatment-induced cortical reorganization after stroke in humans. Stroke. 2003;31(6):1210-1216.
  23. Lord SE, McPherson K, McNaughton HK, et al. Community ambulation after stroke: How important and obtain ableisit and what measures appear predictive. Archives of Physical Medicine Rehabilitation. 2004;85(2);234-239. https://doi.org/10.1016/j.apmr.2003.05.002
  24. Mauritz KH. Gait training in hemiplegia. European Journal of Neurology. 2002;9(S1):23-29.
  25. Munn J, Herbert RD, Gandevia SC. Contralateral effects of unilateral resistance training :a meta-analysis. Journal of Applied physiology. 2004;96(5):1861-1866. https://doi.org/10.1152/japplphysiol.00541.2003
  26. Na SH. The difference of foot pressure distributions and muscle activity during the coordinated movement patterns. Korea University. Dissertation of Master's Degree. 2010.
  27. O'Sullivan S, Schmitz T. Physical rehabilitation: assessment and treatment. Philadelphia. F.A. Davis Company.1988.
  28. Wall JC, Turnbull GI. Gait asymmetries in residual hemiplegia. Archives of Physical Medicine Rehabilitation. 1986;67(8):550-553.
  29. Wang RY. Effect of proproceptive neuromuscular facilitation on the gait of patients with hemiplegia of long and short duration. Physical Therapy. 1994;74(12):1108-1115. https://doi.org/10.1093/ptj/74.12.1108